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CITY OF EVERETT- Water Dept. <br /> Application No...Z61.dx. Date.......... ..........»................_..... <br /> 1 ...7 <br /> Install.............................. inch water service pipe <br /> On ........ i;�.q..:......fs..e2..-.............................................._....... Street <br /> .... <br /> Lot.......................................................... Block No................ <br /> _..».....».... <br /> Addition ......................................... ............................................................... <br /> Remarks ....._........................................_......»..»............... <br /> ......................................_....................._................... .................................... <br /> ..........».._.........»...»..._.__......................»........... <br /> .............................................. SuPerintendent <br /> LABOR AND MATERIAL USED <br /> No. Size <br /> ..•••.••.».,M•»••„»_ <br /> ...................... Lead Lead Connection Complete <br /> ...........»..».»»_......................... Saddle Complete <br /> .St...................... ..............................._........._.................._.......Pipe <br /> ......_......_..........._......................... Service Cock <br /> ..............._.......I......_. Service Box <br /> No. Hours Labor......................................»....Cost......_....».......»................... <br /> CulIn....................Pavement...................X...................... ...............»......sq.Ft <br /> ...................X......._............. <br /> .........._........... - <br /> y <br /> ..................X...................... ........................ tl <br /> TotLl ........................Sq.Ft. <br /> ........................................ .. <br /> .. .. ............................................................................................. .........I............... <br /> ..... <br /> Order Received......... •• •...... <br /> Work Completed........................._ . . ......._....._.............. ...... <br /> . . ....... .............. <br /> Forem <br /> r� <br />